Top 2 Credentialing specialist Jobs in Greenville, Sc

Medical Credentialing Specialist
Carolina Nephrology, PA —Greenville, SC
- $25 - $27 an hour
- Full-time
- Senior level
- Communication skills
- Time management
- Health insurance
- Dental insurance
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Provider Enrollment Specialist
New Horizon Family Health Services —Greenville, SC
- Mid-level
- Databases
- Business Administration
- Health savings account
- Paid holidays

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Provider Enrollment Specialist
New Horizon Family Health Services —Greenville, SC
Minimum of an Associate degree in Healthcare Administration, Business Administration, or related field. Keep the Revenue Cycle Director informed at all times of…
Medical Credentialing Specialist
Carolina Nephrology, PA —Greenville, SC
Maintain accurate credentialing records and ensure compliance with federal, state, payer, and organizational standards.
$25 - $27 an hour
Quick Apply

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Credentialing Specialist-(Day)FT
Adena Health System —Chillicothe, OH
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…

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Medical Credentialing Specialist

Carolina Nephrology, PA -
Greenville, SC

Quick Apply

Job Details

Full-time
$25 - $27 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Accreditation standards (regulatory compliance area)
Provider enrollment for medical credentialing
Regulatory compliance
State healthcare regulations
Health insurance knowledge
Managing projects
Healthcare compliance
Healthcare software applications

Full Job Description

Description:

Position Overview

Carolina Nephrology is seeking an experienced Medical Credentialing Specialist. The ideal candidate will have extensive experience managing provider credentialing in a multi-provider healthcare environment and possess strong proficiency with Qgenda or similar credentialing software. This individual will play a key role in ensuring providers maintain compliance with all credentialing, privileging, and payer enrollment requirements across multiple healthcare settings.

Key Responsibilities

Manage the initial credentialing and re-credentialing processes for 20–40 providers across ambulatory surgery centers, hospitals, dialysis centers, and outpatient clinics.
Oversee payer enrollment and re-enrollment activities, including Medicare, Medicaid, and commercial insurance plans.
Maintain and update provider information within CAQH and other credentialing databases.
Coordinate credentialing and privileging activities with 7–12 hospitals, multiple dialysis organizations, and 20–25 clinic locations.
Manage facility credentialing and ensure organizational compliance with regulatory and accreditation requirements.
Monitor credentialing expiration dates and proactively managing renewals to prevent lapses in provider participation.
Collaborate with physicians, administrators, practice leadership, and external organizations to facilitate timely credentialing approvals.
Maintain accurate credentialing records and ensure compliance with federal, state, payer, and organizational standards.

Requirements:

Qualifications

Demonstrated experience in healthcare credentialing, payer enrollment, facility credentialing, and CAQH management.
Strong working knowledge of QGenda or similar credentialing software is required.
Experience credentialing providers across multiple healthcare environments, including hospitals, ASCs, dialysis facilities, and physician practices.
Thorough understanding of credentialing regulations, accreditation standards, and payer requirements.
Exceptional organizational, time-management, and communication skills.
Strong attention to detail and ability to manage multiple projects and deadlines simultaneously.
Ability to work independently while maintaining a high level of accuracy and accountability.

What We Offer

Competitive compensation based on experience and qualifications.
Opportunity to support a growing, provider-focused nephrology organization.
Collaborative and professional working environment.

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Hours: Monday-Friday 9am-5pm

Pay: $25.00 - $27.00 per hour

Quick Apply

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credentialing specialist jobs in greenville, sc

Medical Credentialing Specialist

Provider Enrollment Specialist

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